Tinnitus, what is it?

Tinnitus, what is it?

Tinnitus is not a disease, and is very rarely a symptom of a serious medical problem…But, it can drive you crazy! Michelangelo wrote in his memoirs that he was “plagued by the incessant chirping of crickets.” It may also sound to the sufferer like buzzing, humming or an open electrical socket — the biggest problem is that no-one else can hear it. Tinnitus is a surprisingly common disorder. A British national study of hearing found that 10% of adults had prolonged spontaneous tinnitus — that is, tinnitus “usually lasting for longer than 5 minutes”; 1% had experienced severe annoyance due to tinnitus; and 0.5% had experienced a severely reduced ability to lead a normal life. Treatment options are far and few between.  Many doctors will focus “therapy” on reassuring the patient that the problem is not life-threatening.  With a few exceptions, surgery specifically aimed at eliminating tinnitus is obsolete. Before exploring possible treatment strategies, let us consider the two broad categories of tinnitus, and the important “rule-outs” as to the cause of this confounding auditory irritation.

Long-standing, or chronic tinnitus, of longer than 6 months duration, can be a bit more difficult to treat. The very best approach to tinnitus, as with any medical problem, is prevention. If you are beyond prevention, do consider the following list of possible causes and what to avoid, because it will help your tinnitus from getting worse.  Some key areas to stay clear of are Prescription drugs — even OTC drugs — they are a major culprit. The primary offenders are aspartame (NutraSweet), aspirin, steroids, anti-depressants, anti-anxiety medications, antihistamines, anti-seizure drugs, antibiotics (especially cephalosporins) and pain killers. If drug initiation corresponds with onset of tinnitus — bingo! Avoidance is key, if its possible.  Tinnitus can also be due to circulatory problems, including low blood volume. Make sure you are not anemic, especially if you are extremely tired, pale and having heavy menses. Which could also be a hypothyroid. Make sure you don’t have high blood pressure, which often goes undetected without periodic check-ups. Is your cholesterol or triglyceride level too high? Do you have food allergies? Are you diabetic? Do you have an ear infection? Do you suffer from TMJ (temporomandibular joint dysfunction syndrome)? Have you had a head injury? Is your eardrum perforated? Have the tiny bones behind the eardrum fused (otosclerosis)? Is there a cyst (cholesteatoma) anywhere in the ear or canal? Do you use nicotine or caffeine? And, last but not least, do you now or have you ever listened to loud music? Using ipods with noise cancelling headphones or ear buds that go into the canal can be particularly dangerous. And please don’t stand right under the speakers at Zumba class or concerts! Keep the volume low in your car, and at home including on the TV. Damage to the tiny hair cells in the inner ear is irreversible! Protect them!!

If the onset of your tinnitus is more recent, and none of the above is a possible cause, an inner ear virus is the next thing that needs to be looked at. Some of the treatment suggestions below will be helpful, and your tinnitus will probably resolve.

Top Treatment Approaches:

Acupuncture
Several controlled studies have shown acupuncture to improve tinnitus; just as many claim no benefit from acupuncture. Choose a licensed acupuncturist who has studied in China or Canada as part of their clinical training. Generally an MD acupuncturist has much less training. Traditional Chinese Medicine (TCM) distinguishes chronic or intermittent tinnitus from an acute, or sudden onset. The chronic form usually presents with a low, buzzing sound and is associated with general weakness, and thought to be a “deficiency” condition. Thus, “tonifying” is indicated. The sudden onset tinnitus is thought to be due to “excess” and the ringing is low, like screaming or thunder, and is not relieved by pressure on the ear. This presentation is treated by removing the “obstruction” in the channels (meridians) around the ears. A basic acupuncture prescription for tinnitus, which may take 10 to 15 sessions for improvement, is San Jao 3 and 17, Gallbladder 2 and 43, with Kidney 3 and 6 for the chronic type. Scalp or ear points are also useful. TCM has been around for many centuries; acupuncture often works, and it doesn’t hurt.  Its worth it!!

Gingko
Gingko biloba is one of the most studied herbal medicines. It is well established that Gingko enhances blood flow to the periphery (edges of the body), in particular to the head and brain. If your tinnitus is due to circulatory problems, Gingko is likely to help, if not then it will merely improve your memory. Take 240 mg of a standardized Gingko (in capsule form) dail. The product should claim to contain 24% gingkolisides or gingko heterosides. You will notice your thinking is sharper within 3 to 10 days. Relief from tinnitus will take longer; give it up to 6 weeks. Once relief is achieved, you can lower the dose maintenance levels to 40-60 mg daily.

Eustachian Tube Drainage
What? This is a naturopathic technique used to relief congestion in the tube behind the eardrum by draining fluid away from the ear. Ideally you can find your local naturopath to show you this technique; if not, you can give it a whirl on your own. This practice will help your tinnitus if it’s due to congestion of the ear, nose or throat. It’s also a good technique to expedite curing a simple ear infection, or unblocking your ears after diving or flying. First, make sure your hands are clean. With your mouth not too wide open, gently find your back molars on one side with your index finger. Beyond the molars is the curve of flesh-covered bone that creates the hinge between the upper and lower jaw. Gently go beyond the hinge, towards the back of the throat until you find a stringy vertical tendon. This is called the “tonsillar pillar”. Touch here will make most people gag, so go softly and carefully. Just behind the tonsillar pillar, down low near the root of the tongue, is the Eustachian tube, which feels like a small “mole tunnel” under the flesh. It may be impossible to feel, but if you got the tonsillar pillar you’re in the right area. Gently stroke the Eustachian tube from the ear side of the back of the throat towards the middle (towards the tongue) several times until you can’t stand it. Same thing on the other side if the tinnitus is bilateral. Do this daily and consistently for up to a week. Repeat as needed

Supplements

Zinc, ideally in the picolinate form, 90-150 mg daily for 3-6 months may help, especially if zinc is low. If zinc lozenges taste really yucky, you probably don’t need zinc. If zinc seems to have little or no taste, you are deficient. Studies on zinc and tinnitus generally indicate that zinc is helpful in age-related tinnitus and hearing loss. Zinc can also help with age-related loss of taste.  Also a Vitamin B12 deficiency has been reported to be common in people exposed to loud noises, and who have developed occupational tinnitus and hearing loss. Intramuscular injections of B12 (1000 mcg weekly) reduced tinnitus severity; this is usually only available in the doctor’s office. You might find a doctor who will teach you to do this at home, and give you a prescription for the syringes and injectible hydroxycobalamin, which hurts less than cyano or methylcobalamin. No formal studies have been conducted using oral forms of B12, but many websites and anecdotal reports claim as little as 100 mcg daily by mouth can be effective after several weeks. Look for a B complex with emphasis on the B1

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